trachs Flashcards
starting at november 12 lecture
1
Q
excoriation
A
secondary skin lesion
2
Q
passy-muir valve
A
used for speaking with a trach
one way
forces air around vocal cords
if pt has cuffed trach, defalate
2
Q
emergency equip
A
- obturator at HOB
- extra trach in smaller size
- suction catheters
- ambu bag
3
Q
if pt desats…
A
- check trach
- increase O2
- suction
4
Q
if pt coughs out outer cannula
A
- put new sterile trach in
- dire: put old trach back in
- dire dire: oxygen can be applied to stoma
- dire dire dire: occlude stoma and use ambu bag on mouth
5
Q
negative pressure ventilator
A
iron lung
6
Q
positive pressure ventilator
A
mechanical ventilator
7
Q
jackson trach
A
heavy duty
metal
least common
can cause airway trauma
8
Q
shiley trach
A
polyvinyl chloride
9
Q
bivona trach
A
silicone with internal metal wire coil
10
Q
three components of a trach
A
outer cannula
innter cannual
obturator
11
Q
outter cannula parts
A
flange
cuff (eliminates air leak and prevents aspiration)
pilot tube (only in cuffed trachs)
12
Q
how often to change inner cannula
A
q4h
13
Q
suction strength for trach
A
80-120mmHg
14
Q
A
